Ralph F Carbone Jr., DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

02001120 Issued in IN

Practice address

212 W Edison Rd Ste F
Mishawaka, IN 46545-8301

Phone

(574) 257-0621

Fax

(574) 257-0641

NPI assigned

Apr 6, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Anesthesiology

Education

Chicago College of Osteopathy, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allied Physicians Surgery Center, LLC

  • Anesthesiology Physician
  • South Bend, IN
  • NPI 1669032942
  NPD (past)
• Northern Indiana Rehab Hospital, LLC

  dba Doctor's Neuromedical Hospital & Research Institute

  • General Acute Care Hospital
  • Bremen, IN
  • NPI 1811908957
  NPD (past)
• St. Joseph Valley Anesthesia P.C.

  • Anesthesiology Physician
  • Mishawaka, IN
  • NPI 1790738854
  NPD (past)
• Daniel L French PSC

  • Family Medicine Physician
  • Florence, KY
  • NPI 1255337952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447212006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W EDISON RD",
            "address_2": "SUITE F",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458301",
            "telephone_number": "574-257-0621",
            "fax_number": "574-257-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W EDISON RD STE F",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458301",
            "telephone_number": "574-257-0621",
            "fax_number": "574-257-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "RALPH",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "02001120A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "02001120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200540580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cancer Care Partners LLC (Cancer Care Partners Pharmacy)
• Cancer Care Partners LLC (Cancer Care Partners)
• Cancer Care Partners, LLC (CCP)
• Mark S. Cantieri, D.O.
• Jodi Carbone
• Zerina Cardaklija
• Carrie Michele Cardwell
• Care First Services LLC
• Caring Cove Hospice LLC
• Elizabeth A. Carpenter, PTA

• Interventional Pain Medicine Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.